BLD2018-1656111111111
08
OF E Af
_ CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
o PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 07/01/2019 ! Permit #: BLD20181656!
BUILDING '
Expiration Date: 07/01/2020 j Project Address: 220 RAILROAD AVE, EDMONDS
Parcel No: 27032300104200
EDMONDS WATERFRONT CENTER EDMONDS SENIOR CENTER W.G. CLARK CONSTRUCTION
C/O CITY OF EDMONDS 220 RAILROAD AVE C/O JIM BRAY
250 5TH AVENUE N EDMONDS, WA 98020 1945 YALE PLACE EAST
EDMONDS, WA 98020 SEATTLE, WA 98102
(425)771-0256 (206)239-4823 (206)340-6636
LICENSE #: CCWGCLAC*370NO EXP:08/26/2019
JOB DESCRIPTION
DEMOLITION OF EXISTING22,000 SF SENIOR CENTER AND PORTIONS OF RELATED PARKINGLOT.
VALUATION: $0
PERMIT TYPE: Commercial
PERMIT GROUP: 23 - Demolition '`
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY:
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: ( 0 X 0 FT.
CODE: 2015
OTHER: ------- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
1 VESTED DATE:
NUMBER OF DWELLING UNITS: 0
ILOT #:
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
PROPOSED AREA
1BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
BEDROOMS-0 BATHROOMS:O
BEDROOMS:O BATHROOMS:0
FRONT IACK SIDESETBACK
REQUIRED: PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED.
HEIGHT ALLOWED:O PROPOSED:O IREQUIRED: PROPOSED:
SET BACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO
PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION
INSURANCE AND RCW 18:27.
_ THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
%nature Print Name Date Rele se �� Date
ATTENTION
ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBC110/ IRCI 10.
a FIRE �411 APPLICANT = ASSESSOR = CITI'
STATUS: ISSUED
• *Pre -inspection required.
• *Street to be cleaned of debris.
BLD20181656
• *Side sewer must be capped at property line.
• *Water Service must be disconnected from Water meter and or hose bib with AVB installed.
• *Dump at approved dump site only.
• *See demolition inspection checklist on back of job card for inspection requirements.
• Final approval on a project or final occupancy approval must be granted by the Building Official prior to use or occupancy of
the building or structure. Check the job card for all required City inspections including final project approval and final
occupancy inspections.
• Any request for alternate design, modification, variance or other administrative deviation (hereinafter "variance") from
adopted codes, ordinances or policies must be specifically requested in writing and be called out and identified. Processing
fees for such request shall be established by Council and shall be paid upon submittal and are non-refundable.
• Approval of any plat or plan containing provisions which do not comply with city code and for which a variance has not been
specifically identified, requested and considered by the appropriate city official in accordance with the appropriate provision
of city code or state law does not approve any items not to code specification.
• Sound/Noise originating from temporary construction sites as a result of construction activity are exempt from the noise limits
ofECC Chapter 5.30 only during the hours of 7:00amto 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all othertimes the noise originating from construction sites/activities must comply with the
noise limits ofChapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
• Applicant, on behalfofhis or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold
harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatevernature, arising directly or indirectly fromthe issuance for this permit. Issuance ofthis permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance
provision.
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY
CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT
TIME LIMIT: SEE ECDC 19.00.005(A)(6)
TO SCHEDULE INSPECTIONS
BUILDING
ENGINEERING (425) 771-0220 EXT. 1326
1. Go to: www.edmondswa.gov
Building Department Inspections
2. Then: Seances
are now scheduled online. If you
FIRE (425) 775-7720
3. Then: Permits/Development
have difficulties, please call the
4. Then: Online Permit Info
Building Department front desk for
PUBLIC WORKS (425) 771-0235
5: If you don't have one already, create a
assistance during office hours.
login (upper right hand comer)
(425) 771-0220
RECYCLING (425) 275-4801
6: Schedule your inspection
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection
being requested, Contact Name and Phone Number, Date Preferred, and whether you prefer morning or afternoon.
• E-Pre-Demolition Sewer Cap
• &Pre -Demo Water Sery Discnct/AVB
• EPre-Demo Erosion Control
• E-Engineering Final Demo
• B-Final Demolition
OF ED& BUILDING PERMIT
APPLICATION
- Development Services
Building Division
121 5th Ave N / Edmonds, WA 98020
425.771.0220
For handouts, submittal requirements, permit status and inspection
scheduling information go to: http://www.edmondswa.eov/
JOB SITE INFORMATION/LOCATION: (Where the work is taking place)
Job Site Address: 220 Railroad Avenue, Edmonds, WA 98020
Parcel: 27032300104200
Lot/Unit/Suite #: Subdivision:
PROPERTY OWNER:
Name: City of Edmonds
Mailing Address: 700 Main Street
City/State/Zip: Edmonds, WA 98020
Phone #: 425-771-0256 (Carrie Hite)
Email: carrie.hite@edmondswa.gov
OWNER INSTALLATION: *If yes, read and sign'
Will work be performed by the property owner? ❑ Yes KlNo
I own, reside in, or will reside in the completed structure.
This installation is being made on property that I own which is
not intended for sale, lease, rent, or exchange according to
RCW 18.27.090.
Owner Signature:
APPLICANT / CONTACT INFORMATION:
Name of Applicant: Edmonds Senior Center
Mailing Address: 220 Railroad Avenue
City/State/Zip: Edmonds, WA 98020
Phone #: 206-2394823 (Daniel Johnson)
E-mail: danielrjohnson4@gmail.com
GENERAL CONTRACTOR: (If different from applicant)
General Contractor: W.G. Clark Construction Co.
Mailing Address: 1945 Yale Place East
City/State/Zip: Seattle, WA 98102
Phone #: 206-340-6636 (Jim Bray)
E-mail: jbray@wgclark.com
WA STATE CONTRACTOR L & I # (CCB) & EXPIRATION DATE:
CCWGLAC#:370NO EXP:8/26/2019
CITY OF EDMONDS BUSINESS LICENSE #: NR - 024662
IF'.,Ml
5 LP_Z I a - I V/ 5 Gl Ll
TYPE OF
❑ Accessory Structure/
Detached Garage
Defoits on Page
❑ Addition
® Demolition
❑ Mechanical
❑ New Single Family / Duplex
❑ Plumbing
❑ Fire Sprinkler
❑ Remodel
❑ New Commercial/ Mixed Use
❑ Re -Roof
❑ Signs
❑ Tank
❑ Tenant Improvement
❑ Other
Remodel Permit fees are based on:
The value of the work performed. Indicate the value (rounded to
the nearest dollar) of all equipment, materials, labor, overhead,
and the profit for the work indicated on this application.
Valuation:
PROPOSED NEW SQUARE FOOTAGEFOR THIS APPLICATION
Basement sq ft: Finished ❑ Unfinished ❑
1st Floor, sq ft:
2nd Floor, sq ft:
Garage/Carport:, sq ft:
Deck/Covered Porch/Patio:
Other sq ft:
PROJECT ..
Demolition of existing 22,000 SF senior center and portions of
re ate
parking lot.
I certify that the information I have provided on this form/application is true,
correct and complete, and that I am the property owner or duly authorized
agent of the property owner to submit a permit application to the City of
Edmonds.
Print Name: �r «5.`C^^
S i g n a t u r e r.1G--'��"��" Date
COMMERCIALGENERAL DATA
Occupancy Group(s): Occupant Load(s):
Type(s) of Construction:
Fire Sprinklers: Yes ❑ No ❑
WA STATE ENERGY CODE: If your project affects the building envelope,
mechanical systems, and/or lighting, you must complete the
appropriate WSEC forms.
DEFERRED SUBMITTALS: All commercial building permits that will require
associated plumbing, mechanical, fire sprinkler, and/or fire alarm
permits are applied for separately.
TI / CHANGE OF USE / NEW BLDG: Include TRAFFIC IMPACT worksheet
EQUIPMENTMECHANICAL • . Relocated)
$TUs Gas / Elec /Other Qty
[A/C Unit /Compressor
Air Handler /VAV
Boiler
Dryer Duct
Exhaust Fans
Fireplace
Furnace
Heat Pump Unit
Hydronic Heating
Roof Top Unit (Provide eleva-
tions If a Commercial Bldg)
Other:
COUNTSPLUMBING FIXTURE .. .. .
City Qty
Clothes Washer
Tub/ Showers
Dishwasher
Backflow Device (RPBA, DCDA, AVB)
Drinking Fountain
Pressure Reduction/ Regulator Valve
Floor Drain/Sink
Refrigerator Water Supply
Hose Bibs
Water Heater - Tankless? Y or N
Hydronic Heat
Water Service Line
Sinks
Other:
Toilets
Other:
CONNECTION COUNTS
BTUs Qty BTUs Qty
A/C Unit
Outdoor BBQ / Fire pit
Boiler
Stove/Range/Oven
Dryer
Water Heater
Fireplace/ Insert
Other:
Furnace Other:
COUNTSMEDICAL GAS, AIR VACUUM
Relocated or .. .
Qty
Qty
Carbon Dioxide
Nitrous Oxide
Helium
Oxygen
Medical Air
Other:
Medical -Surgical Vacuum Other:
Type of structure to be demolished: 2-STORY?
Square footage of structure to be demolished: 22,000 SF
AHERA Survey done? Y / N
PSCAA Case q:
Critical Areas Determination:
Study Required ❑ Conditional Waiver ❑ Waiver ❑
Fill in Place ❑ Fill Material:
Removal ❑
Size of Tank (Gallons)
Critical Areas Determination:
Study Required ❑ Conditional Waiver ❑ Waiver ❑
.D
Grading: Cut cubic yards
Fill cubic yards
Cut/ Fill in Critical Area: Yes ❑ No ❑
GENERAL PROVISIONS
APPLICATIONS: Applications are valid for a maximum of 1 year.
ESLHA Applications, 2 years.
LICENSING: All contractors and subcontractors are required to be licensed
with Washington State Department of Labor & Industries and have a
current City of Edmonds Business License.
SECTION 23, TOWNSHIP 27 NORTH, RANGE 3 EAST, W.M.
PUGtI BOUND
I
TAX NO. 00724500100000
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[TAX NO. 270323001
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EBB TIDE CONDOS
I FEE 1ST FLOOR=12.5
FEE 2ND FLOOR=21.6
FEE 3RD FLOOR=30.9
FEE. 4TH FLOOR=40.2
FEE 5TH FLOOR-49.6
EDMONDS SENIOR CENTER
FFE=12.1
PORTIONS OF EXISTING SITE IMPROVEMENTS
WITHIN CLEARING LIMITS SHOWN ARE TO B
DEMOLISHED BY THE EDMONDS WATERFRO
CENTER CONTRACTOR, WITH REMAININ
DEMOLITION WORK TO BE PROVIDED BYT
EDMONDS WATERFRONT RE-DEVELOPME
DEMO EXISTING BUILDING
AND ASSOCIATED WALKWAYS
WALL
REMOVE EXISTING
DRAINS IN NEW
BUILDING LOCATION
P�0
ABANDON E STING
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'9S,o.yy 6" WATE LINES
ABANOCIN 2" WATER
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TO METER
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INSTALL TEMPORARY SEDI ENTTRAPS
IN ALL EXISTING CATCH B SINS
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WATERFRONT REDEVELOPMENT
so SO c O RAILROAD AVENUE PROJECT
X X
S42'3553"W 954.63
NOTES:
1. EDMONDS WATERFRONT REDEVELOPMENT PROJECT TO PROVIDE
EROSION CONTROL MEASURES FOR ON -SITE CONSTRUCTION
STORMWATER POLLUTION PREVENTION (OUTSIDE OF DEPICTED
CLEARING LIMITS).
2. BEFORE BEGINNING LAND -DISTURBING ACTIVITIES, INCLUDING
CLEARING AND GRADING, CLEARLY MARK ALL CLEARING LIMITS AND
SENSITIVE AREAS AND THEIR BUFFERS.
3. CONCRETE TRUCKS MUST NOT BE WASHED OUT ONTO THE GROUND,
OR INTO STORM DRAINS, OPEN DITCHES, STREETS, OR STREAMS.
EXCESS CONCRETE MUST NOT BE DUMPED ON -SITE.
4. ADDITIONAL BEST MANAGEMENT PRACTICES MAY BE REQUIRED
DURING CONSTRUCTION.
LIMITSOF LEARING AND GRADING
S 5
FOR EDM NOS WATERFRONT CENTER/SIT NSTR 194
FENC FO UILD1 DEMO. SEE EDMONDS WATER N
REDE ELO ENT P UECT PLAN FOR SITE
f/
CLEA ING D GR ING. BUILDING TEAM LEARING 0 BE
ADJU TE COOR INATION WITH EDMONDS E R
"
REDE EL ENTP OJECT FOLLOWING BUIDI GDE .1
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WATERFRONT REDEVELOPMENT
fEDMONDS
PROJECT TO DEMO EXISTING PARKING LOT
INCLUDING PLANTERS
AND CURB OUTSIDE OF DEPICTED CLEARING LIMITS /1
I(
A ESS FO ILDING DEMO
/
/
S 12.34
PKW 2+
EDMONDS WATERFRONT REDEV PME ?.
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PROJECTTO DEMO
EXISTING SITE LIGHTING
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CONSTRUCTION TRANCE 82.
LOCATIO S.AD REMO
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RAILROAD AVENUE I
GCMH 9�ggq
RIM=71.87 EDMONDS WATERFRONT REDEVELOPMENT PROJECT
IE OUT (SW)=6.31 TO RELOCATE EXISTING CATCH BASINS TO FACE OF NEW CURB
PROJECT
TEMPORARY EROSION CONTROL AND DEMO PLAN
1 SCALE: 1" = 20'
20 0 10 20 40
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CITY OF EDMONDS
BUILDING DEPARTMENT
WORK DE=M()
ADDRESS
OWNER Ci1'TV �r FT7NAn1.1L�S
APPROVED DATE:
BLDG. OFFICIAL:
PERMIT NUMBER
Yid C>7_01$ • IIoSg
ENGINEERING
250 4TH AVE. S., SUITE 200
EDMONDS, WASHINGTON 98020
PHONE (425) 778-8500
FAX (425) 778-5536
12/ 20/ 18 1
DESIGN: JPU
DRAWN:
ATD
CHECK:
GAG
JOB NO:
18137.20
DATE:
06/08/18
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APPROVED FOR CONSTRUCTION w N
CITY OF EDMONDS
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DATE:
BY. a .I
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